Eating in “SINC” Oral Feeding on CPAP and Beyond Winnipeg, April 2015
A Quality Improvement Project Calgary Zone NICUs
Presenter Disclosure Stacey Dalgleish, MN, NNP Alberta Health Services No conflicts No potential conflicts of interest
2 Canadian Association of Neonatal Nurses – ONE Day of Education Monday, April 13, 2015 9:15 a.m. – 10:00 a.m.
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Eating in “SINC”: Oral Feeding on CPAP and Beyond
Stacey Dalgleish, MN, NNP
Presentation Objectives •Describe eating as a developmental task. •Review relationship between eating and breathing. •Define “SINC” as a QI construct to safely guide the initiation and advancement of oral feeding. •Illustrate examples of neonates fed safely using “SINC” strategies. •Share outcome data from a “SINC” cohort
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Calgary Zone 1.1 million referral area southern Alberta
5 NICUs •123 beds •650 nurses •28 Neonatologists …at least that many opinions
4 Canadian Association of Neonatal Nurses – ONE Day of Education Monday, April 13, 2015 9:15 a.m. – 10:00 a.m.
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Eating in “SINC”: Oral Feeding on CPAP and Beyond
Stacey Dalgleish, MN, NNP
Calgary Status 2012
No Auditing
Safety concerns Oral feeding while on CPAP
Developmental concerns
Missing opportunities for feeding skill acquisition
Long term burden of oral aversion No local data
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Optimal Lung Practices Prolonged CPAP to ensure FRC Historical culture to withhold oral feeding on CPAP Advancing technology, increasing knowledge